| Regimental number | 3041 |
| Place of birth | Aalborg Denmark |
| Religion | Church of England |
| Occupation | Cook |
| Address | Thirroul PO, South Coast, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs E Ellis, c/o PO, Thirroul, South Coast, New South Wales |
| Enlistment date | 28 June 1915 |
| Date of enlistment from Nominal Roll | 28 June 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 12 November 1916 |